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Does getting a steroid injections increase the blood cell count?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have monoclonal lymphocytosis, which has been stable for six years. ALC has never gone above five. I had an epidural steroid injection for back pain. Twelve days later, a CBC was drawn, and ALC and WBC had risen rather dramatically. Before that, ALC was 3.95 and WBC was 8.78. Now, ALC is 7.39 and WBC is 15.39.

There is disagreement among my doctors about how likely it is that the injection led to the elevated counts, although their answers range from "possible" to "very possible" to "definitely." But there is very serious disagreement over how long the effect can last and when to re-test. Those answers range from two weeks to eight weeks to six months.

It seems to me this question should have a relatively clear empirical answer: How long can the effect of an epidural steroid injection on blood counts last? That is the question.

Answered by Dr. Goswami Parth Rajendragiri

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Following is my answer to your asked question.

It is very likely that steroids can increase the blood count. The effect of such steroid (given systemically) on CBC (complete blood count) can last for a maximum of up to three to five weeks usually.

I hope I have answered your question. Let me know if I can assist you further.

Patient's Query

Hi doctor,

Thank you for the reply.

Are you a hematologist?

Answered by Dr. Goswami Parth Rajendragiri

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

Actually, I am a Pathologist and practice hematology as well.

I hope you have got the answer. You can ask further questions whenever needed.

Good luck.

Medically reviewed by iCliniq medical review team
Published At September 19, 2022
Reviewed At December 21, 2023

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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Steroid injection and blood counts?

Five quick questions to help you understand how steroid injections can temporarily affect your blood cell counts and when to discuss it with your doctor.

For guidance only, not a diagnosis. Always consult a healthcare professional for medical advice.

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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